Systems and methods for delivering low-level electromagnetic radiation to a patient

ABSTRACT

A device for delivering low-level electromagnetic radiation to a patient includes a core portion including an upper surface and defining at least a portion of a base surface opposite the upper surface. The base surface is substantially planar and configured to rest on a substrate. The device also includes a cushion layer mounted on the upper surface and substantially defining a contact surface. The contact surface is opposite the base surface and contoured to support a curvature of a sub-occipital region and a lower neck region of the patient in a supine position. The device further includes a plurality of emitters coupled proximate to the contact surface and configured to emit low-level electromagnetic radiation transdermally to at least one of the sub-occipital region and the lower neck region.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation-in-part of, and claims priority to,U.S. application Ser. No. 16/787,497, filed Feb. 11, 2020, entitled“SYSTEMS AND METHODS FOR DELIVERING LOW-LEVEL ELECTROMAGNETIC RADIATIONTO A PATIENT,” the entire contents of which are hereby incorporated byreference in their entirety. This application also is a continuation of,and claims priority to, United States Design application Serial No.29/788,005, filed Feb. 8, 2021, entitled “NECK THERAPY CUSHION,” theentire contents of which are hereby incorporated by reference in theirentirety.

BACKGROUND

The subject matter described herein relates generally to medical devicesand, more particularly, to devices and methods for treatment of tensionheadaches and/or temporomandibular joint disorder (TMD) by positioning apatient to induce target treatment areas into a receptive state forreceiving therapeutic amounts of electromagnetic therapy, and deliveringtherapeutic amounts of electromagnetic therapy to the treatment areas ofthe patient so positioned.

At least some known tension headaches are caused by muscle contractionsin the head and neck regions. Any number of internal and environmentalstressors are known to cause tension headaches, and the pain may rangefrom mild to moderate to severe. The temporomandibular joint (TMJ) actsas a sliding hinge that connects the jawbone to the skull. Patients withTMJ disorders (commonly known as TMD) frequently exhibit symptoms ofpain and limited mobility in the jaw joint as well as in the surroundingmuscles and tissues. Many TMD patients suffer from other conditions andsymptoms associated with TMD, including tension headaches.

At least some known devices, such as contoured pillows and oral inserts,are configured to reduce the discomfort of tension headaches and/or TMDby physically positioning the patient in a fashion that relaxes theassociated muscle groups and other tissues. However, the relief affordedby such known devices is often temporary, and the devices are notgenerally capable of healing the affected muscles and other tissues.

Alternatively, at least some known devices are configured to reduce thediscomfort of tension headaches and/or TMD by administering low dosagesof electromagnetic radiation (e.g., near-infrared light) to the affectedmuscles and other tissues transdermally through the face, neck, orscalp. For example, the low-level electromagnetic radiation (oftenreferred to as “low-level light therapy”) is applied by emitterspositioned on a skull cap, face wrap, or handheld device. However, suchdevices are known to produce inconsistent results, both among differentpatients and across different treatment sessions by a single patient.

Accordingly, a device that reduces the discomfort of tension headachesand/or TMD, promotes healing of the underlying muscles and other tissue,and is capable of producing consistent results both among differentpatients and across treatment sessions for a given patient would findutility.

BRIEF SUMMARY

In one aspect, a device for delivering low-level electromagneticradiation to a patient is provided herein. The device includes a coreportion including an upper surface and defining at least a portion of abase surface opposite the upper surface. The base surface issubstantially planar and configured to rest on a substrate. The devicealso includes a cushion layer mounted on the upper surface andsubstantially defining a contact surface. The contact surface isopposite the base surface and contoured to support a curvature of asub-occipital region and a lower neck region of the patient in a supineposition. The device further includes a plurality of emitters coupledproximate to the contact surface and configured to emit low-levelelectromagnetic radiation transdermally to at least one of thesub-occipital region and the lower neck region.

The features, functions, and advantages described herein may be achievedindependently in various embodiments of the present disclosure or may becombined in yet other embodiments, further details of which may be seenwith reference to the following description and drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic perspective view of an exemplary device fordelivering low-level electromagnetic radiation to one or more treatmentareas of a patient;

FIG. 2 illustrates a patient using the exemplary device shown in FIG. 1;

FIG. 3 is a schematic perspective view of an exemplary alternativeembodiment of the device shown in FIG. 1 ;

FIG. 4 is a schematic perspective view of the exemplary alternativeembodiment of the device shown in FIG. 3 , showing the device in anexpanded configuration;

FIG. 5 is a schematic perspective view of another exemplary alternativeembodiment of the device shown in FIG. 1 ;

FIG. 6 is a schematic perspective view of a patient using the exemplaryalternative embodiment of the device shown in FIG. 5 ;

FIG. 7 is a schematic perspective view of another exemplary alternativeembodiment of the device shown in FIG. 1 ;

FIG. 8 is a schematic perspective view of another exemplary alternativeembodiment of the device shown in FIG. 1 ;

FIG. 9 is a back elevation view of the exemplary alternative embodimentof the device shown in FIG. 8 ; and

FIG. 10 is a schematic perspective view of the exemplary alternativeembodiment of the device shown in FIG. 8 , including exemplary elevatorplatforms.

DETAILED DESCRIPTION

The devices and methods described herein position a patient to inducemuscles and other tissues associated with tension headaches and/or TMDinto a specifically receptive state for receiving therapeutic low-levelamounts of electromagnetic radiation, and also deliver therapeuticamounts of low-level electromagnetic radiation to the treatment areas ofthe patient so positioned. More specifically, such therapeutic low-levelelectromagnetic radiation, for example near infrared (“NIR”) light, hasbeen found to more effectively and consistently promote healing ofmuscle tissue, such as in the context of therapy for sports-relatedinjuries, when the targeted muscle fibers are in a gently stretchedstate, rather than constricted or completely relaxed. The devices andmethods described herein position the patient in a fashion that inducesmuscle fibers in the patient's head and neck into this gently stretchedyet unforced receptive state, and simultaneously orient emitters toapply low-level light therapy transdermally to the muscles and othertissues that have been induced into the receptive state, thereby notonly reliably and consistently alleviating pain associated with tensionheadaches and/or temporomandibular joint disorders (TMD), but alsofacilitating healing of the targeted muscles and other tissues to reduceor eliminate the incidence of tension headaches and/or TMD. Withoutwishing to be limited to a particular theory, low-level light therapy isbelieved to affect a biological change in tissue by inducing aphotochemical reaction in the cell, a process referred to asphotobiomodulation. For example, low-level light therapy increases thetemperature in the muscles and tissues of a treatment area, and improvesblood circulation to the treatment area.

The devices and methods described herein include a support having acontact surface contoured to support the curvature of the patient'ssub-occipital region and adjacent lower neck region (i.e., the back ofthe neck below the sub-occipital region) when the patient lies in asupine position. More specifically, the support is configured tocantilever an upper portion of the patient's head beyond the edge of thesupport, such that the weight of the head gently stretches the patient'ssub-occipital muscles, as well as surrounding tissues and muscle groupsin the lower neck and head, into the light therapy-receptive statedescribed above. The devices and methods further include emitterscoupled to (e.g., embedded in) the support proximate to the contactsurface and oriented to emit low-level electromagnetic radiation (e.g.,NIR light) transdermally into the targeted muscle groups while they arein the receptive state.

In some embodiments, the support includes first and second supportelements that are movable relative to each other to adjust a length ofthe support in a direction generally parallel to the patient's spine.More specifically, the first and second elements are movable relative toeach other to adjust a spacing between a first portion of the contactsurface, supporting the sub-occipital region, and a second portion ofthe contact surface, supporting the lower neck. Accordingly, the deviceis easily adjustable to each specific patient's neck length in order toachieve the desired receptive state of the target muscle groups and/orthe desired alignment of the emitters and the target muscle groups.

In certain embodiments, the device further includes at least one sidearm assembly coupled to the support, such as two side arm assemblies onopposing sides of the support. The side arm assembly includes a supportarm extending from a first end to a second end, and support pads coupledto the second end. The side arm assembly also includes emitters coupledto an inner face (e.g., an inner surface) of each support pad. Theemitters are positioned to emit low-level electromagnetic radiation(e.g., NIR light) transdermally into muscle groups surrounding the jawand temple region of the patient's face, that is, muscle groupstypically implicated in TMD. In particular, it has been discovered thatthe support, sized and contoured to induce the sub-occipital muscles andsurrounding tissues into the light therapy-receptive state describedabove, advantageously further tends to induce the lighttherapy-receptive state in the muscle groups associated with TMD. Aposition of each support pad relative to the support arm is adjustableto align the additional emitters with these TMD-specific muscle groupsand other tissues while they are in the receptive state induced by useof the support.

As used herein, an element or step recited in the singular and precededwith the word “a” or “an” should be understood as not excluding pluralsaid elements or steps, unless such exclusion is explicitly stated.Further, references to an “embodiment” or an “implementation” are notintended to be interpreted as excluding the existence of additionalembodiments or implementations that also incorporate the recitedfeatures. Moreover, unless explicitly stated to the contrary,embodiments or implementations “comprising,” “including,” or “having” anelement or a plurality of elements having a particular property mayinclude additional such elements not having that property.

Unless otherwise indicated, approximating language, such as “generally,”“substantially,” and “about,” as used herein indicates that the term somodified may apply to only an approximate degree, as would be recognizedby one of ordinary skill in the art, rather than to an absolute orperfect degree. Accordingly, a value modified by a term or terms such as“about,” “approximately,” and “substantially” is not to be limited tothe precise value specified. In at least some instances, theapproximating language may correspond to the precision of an instrumentfor measuring the value. Additionally, unless otherwise indicated, theterms “first,” “second,” etc. are used herein merely as labels, and arenot intended to impose ordinal, positional, or hierarchical requirementson the items to which these terms refer. Moreover, reference to, forexample, a “second” item does not require or preclude the existence of,for example, a “first” or lower-numbered item or a “third” orhigher-numbered item.

FIG. 1 is a schematic perspective view of an exemplary device 100 fordelivering low-level electromagnetic radiation to one or more treatmentareas of a patient. FIG. 2 illustrates an exemplary patient 200 usingdevice 100. Device 100 includes a support 102 and a plurality ofinfrared emitters 104 coupled to support 102. Support 102 includes abase surface 106 and a contact surface 116. With reference to FIGS. 1and 2 , base surface 106 is substantially planar and configured to reston a substrate (e.g., a floor). Contact surface 116 is opposite basesurface 106 and contoured to support a curvature of a sub-occipitalregion 204 and a lower neck region 206 of patient 200 in a supineposition, such that an upper portion 202 of the head of patient 200 iscantilevered beyond support 102. Infrared emitters 104 are coupled tosupport 102 proximate to contact surface 116. Infrared emitters 104 areconfigured to emit low-level electromagnetic radiation transdermally toat least one of sub-occipital region 204 and lower neck region 206.

In the exemplary embodiment, a first portion of contact surface 116,designated first contact surface 112, is contoured to support thecurvature of sub-occipital region 204. More specifically, in theexemplary embodiment, first contact surface 112 is a convex surfaceconfigured to support the curvature of the base of the skull andsub-occipital region 204 of patient 200. A second portion of contactsurface 116, designated second contact surface 114, is configured tosupport lower neck region 206 and, in the exemplary embodiment, toprevent excessive extension (or flexion) of the patient's neck. Morespecifically, in the exemplary embodiment, second contact surface 114 isa concave surface, such that a first distance D₁ extending between anapex 122 of first contact surface 112 and base surface 106 is greaterthan a second distance D₂ extending between second contact surface 114and base surface 106. Second contact surface 114 may further extend tosupport the upper back and/or shoulders of patient 200. Alternatively,first contact surface 112 and second contact surface 114 each have anysuitable shape that enables device 100 to function as described herein.In the exemplary embodiment, first contact surface 112 tangentiallymeets second contact surface 114 to support the curvature of thepatient's neck, head, and shoulders.

In the exemplary embodiment, first contact surface 112 and secondcontact surface 114 are unitarily formed as a single continuous contactsurface 116. Alternatively, first contact surface 112 and second contactsurface 114 are formed separately and/or contact surface 116 is otherthan a single, continuous surface. In various embodiments, contactsurface 116 is formed as a separable cover overlying a body of support102, emitters 104 are embedded in the body directly beneath contactsurface 116, and contact surface 116 is configured to be substantiallytransparent to the low-level electromagnetic radiation emitted byemitters 104. In one example, contact surface 116 is a sheet-likeprotective film or layer that protects emitters 104 from theenvironment. Correspondingly, the body of support 102 may be formed froma suitable material that enables device 100 to conform to the curvatureof the patient's neck when in use, and to return to its original shapewhen device 100 is not being used, such as a suitable foam or cushionmaterial that enables device 100 to compress, stretch, and conform tothe curvature of a patient's neck, such that (i) the patient's neck issupported by device 100 and (ii) infrared emitters 104 are directlyadjacent to the target treatment areas of the patient's neck whiledevice 100 is in use. In alternative embodiments, a suitable form orcushion material used to form support 102 may also define contactsurface 116. The suitable material may be, for example, a syntheticfoam, gel, or fluid material that enables device 100 to function asdescribed herein.

As shown in FIG. 1 , base surface 106 is a substantially elongate planarsurface configured to rest on a substrate surface (for example, a floor,treatment table, or bed) when device 100 is utilized by the patient.Device 100 includes side surfaces 118, 120. First side surface 118 istransversally oriented to base surface 106 and extends therefrom. Secondside surface 120 is parallel to, and opposite from, first side surface118. Second side surface 120 is transversally oriented to base surface106 and extends therefrom. Alternatively, base surface 106 and sidesurfaces 118, 120 each have any suitable shape and/or orientation thatenables device 100 to function as described herein.

Emitters 104 are coupled to support 102 proximate to contact surface 116and oriented to emit energy transdermally to patient 200. In theexemplary embodiment, emitters 104 are embedded in contact surface 116,such that a patient-facing surface of each emitter 104 is flush withcontact surface 116. Alternatively, emitters 104 are coupled to support102 in any suitable fashion that enables device 100 to function asdescribed herein. In the illustrated embodiment, emitters 104 arepositioned across contact surface 116 in an arrangement that targets(i.e., that positions specific emitters 104 directly adjacent to)specific muscles in sub-occipital region 204 and lower neck region 206,such as, for example, but not limited to, the sternocleidomastoid andthe trapezius muscles, when patient 200 is positioned on device 100.Device 100 may include any suitable number of emitters 104 positioned inany suitable arrangement across first contact surface 112 and secondcontact surface 114 for effectively administering light to the targettreatment areas.

With reference to FIGS. 1 and 2 , when a patient lies in a supineposition with device 100 positioned underneath the patient's neck,device 100 is configured to apply a gentle stretch to the patient's necksuch that target treatment areas (e.g., one or more positions of themajor cervical muscles) align with one or more infrared emitters 104 ofdevice 100 without requiring the patient to adjust placement of device100. In the exemplary embodiment, device 100 is configured to slightlyextend (e.g., stretch) the patient's neck when the patient uses device100, such that the muscles, including the cervical muscles, are in astate of increased receptiveness to benefit from light therapytreatment. In the exemplary embodiment, emitters 104 align with targetmuscles in sub-occipital region 204 and lower neck region 206, in thelight therapy-receptive state induced by support 102, to safely andeffectively deliver near-infrared light. For example, when emitters 104are positioned directly adjacent to the target muscles, emitters 104increase the temperature of the muscles over a period of time, therebypromoting blood circulation to these muscles, activating metabolism, andrelieving muscle tension.

In the exemplary embodiment, a first subset of emitters 104 are coupledto support 102 proximate to first contact surface 112 and are configuredto emit low-level electromagnetic radiation transdermally tosub-occipital region 204, and a second subset of emitters 104 arecoupled to support 102 proximate to second contact surface 114 and areconfigured to emit low-level electromagnetic radiation transdermally tolower neck region 206. In various embodiments, each of the first andsecond subsets of emitters 104 is independently activatable.Alternatively, emitters 104 are grouped and/or independently activatablein any suitable arrangement of subsets that enables device 100 tofunction as described herein

In the exemplary embodiment, emitters 104 are operable to emit lowlevels of near infrared (“NIR”) light. Emitters 104 may be lightemitting diodes (“LEDs”), such as, for example, near-infrared LEDs.Emitters 104 may emit light continuously at a given wavelength over apredefined period of time, or alternatively may emit light in pulses ata given wavelength. The frequency, intensity, and/or wavelength ofinfrared emitters 104 may be fixed or may vary in accordance withsignals from a controller (not shown) configured to control theoperation of device 100. Emitters 104 may be configured to emit nearinfrared light at a wavelength within a range of about 200 nanometers(nm) to 1000 nm. In some embodiments, emitters 104 may be configured toemit near infrared light within a range of about 600-850 nm.Alternatively, emitters 104 are configured to emit near infrared lightat any suitable range of wavelengths that enables device 100 to functionas described herein. In some examples, at least some of the advantagesdescribed herein are achieved by emitters 104 providing energy at theabove-described wavelengths, on average, in a range of about 1 milliwatt(mW) to 1,000 mW per cm². In certain examples, at least some of theadvantages described herein are particularly achieved by emitters 104providing energy at the above-described wavelengths, on average, in arange of about 5 milliwatt (mW) to 200 mW per cm². In other examples,emitters 104 are configured to provide energy at any suitable wavelengthand/or energy level that enables device 100 to achieve at least some ofthe advantages described herein.

The controller may be in communication with emitters 104, a power source(not shown), and/or a timing mechanism (not shown) to control thefrequency, wavelength, intensity, and/or duration of the light emittedby device 100. In certain embodiments, device 100 may include one ormore pressure sensors (not shown) associated with first contact surface112 and/or second contact surface 114 that enable the controller todetermine which emitters 104 to automatically turn on based on thepressure detected when device 100 is in contact with the patient's neck.Additionally or alternatively, device 100 may be configured to vibrateor pulsate to gently apply pressure and massage the patient's treatmentareas while light is being administered to these treatment areas.

In alternative embodiments, device 100 may include an externalcontroller (not shown) or a user computing device (not shown), such as amobile device (e.g., a smart phone) in communication with thecontroller. For example, the patient may utilize the user computingdevice to remotely control the settings associated with device 100. Inthis example, the patient may remotely adjust the duration of a lighttherapy session (e.g., instruct the controller to automatically turn offafter a set time period and/or after a threshold temperature value isexceeded), adjust the intensity of light being delivered, and/or selectone or more emitters 104 to emit light for a session. The power source(not shown) may be housed inside device 100, and may be, for example,one or more internal batteries for providing power to emitters 104.However, device 100 may include any suitable power source for providingpower, such as, for example, a plug-in power cord.

FIG. 3 is a schematic perspective view of an exemplary alternativeembodiment of device 100 (shown in FIG. 1 ), designated device 300. FIG.4 is a schematic perspective view of device 300 in an expandedconfiguration. In the exemplary embodiment, support 102 is defined by afirst support element 108 and a second support element 110. Firstsupport element 108 includes a first portion 306 of base surface 106,and first contact surface 112 is opposite first portion 306 of basesurface 106. Second support element 110 includes a second portion 307 ofbase surface 106, and second contact surface 114, and second contactsurface 114 is opposite second portion 307 of base surface 106. Firstsupport element 108 and second support element 110 are movable relativeto each other to adjust a spacing 401 between first contact surface 112and second contact surface 114. In other words, device 300 is configuredto expand from an original configuration having a first length L₁ to anexpanded configuration having a second length L₂ to accommodate patientshaving different neck lengths, such as, for example, those with longerthan average neck lengths. In various embodiments, patients may chooseto adjust spacing 401 of device 300 to improve simultaneous alignment ofemitters 104 on first contact surface 112 with sub-occipital region 204,and emitters 104 on second contact surface 114 with lower neck region206. For example, a patient with a longer neck may expand gap 401 tosimultaneously target various points of the upper and lower cervicalmuscles.

In the exemplary embodiment, first support element 108 and secondsupport element 110 are configured to meet at a seam 304 extending fromfirst side surface 118 to second side surface 120. Device 300 isconfigured to separate at seam 304 and transition from the originalconfiguration to the expanded configuration, such that gap 401 isadjustably defined between first support element 108 and second supportelement 110. In the exemplary embodiment, seam 304 is generally planarand is generally transverse to side surfaces 118, 120 and to basesurface 106. Alternatively, seam 304 has any suitable shape and/ororientation that enables device 300 to function as described herein.

In the exemplary embodiment, support elements 108, 110 are coupledtogether connected via a connector mechanism 402 that extends acrossseam 304. In the illustrated embodiment, connector mechanism 402includes at least one protrusion 404 extending outward from an innerwall 406 of first support element 108 towards second support element110, and second support element 110 includes at least one recess 408registered with protrusion 404 and sized to receive protrusion 404therein in a clearance fit. More specifically, protrusion 404 isconfigured to slide within recess 408 to maintain a coupling of firstsupport element 108 and second support element 110 when support elements108, 110 are moved relative to each other. It should be understood thatprotrusion 404 and recess 408 may be oppositely disposed on secondsupport element 110 and first support element 108, respectively.Alternatively, any suitable connector mechanism 402 may be utilized tomovably couple first support element 108 and second support element 110.

Further in the exemplary embodiment, device 300 includes a lockingmechanism 410 configured to selectively lock a position of first supportelement 108 and second support element 110 at a plurality of positionsrelative to each other. For example, locking mechanism 410 is configuredto fix first support element 108 and second support element 110 in placewhile device 300 is in an expanded configuration, as shown in FIG. 4 .In the example embodiment, locking mechanism 410 includes a slotted arm416 rotatably mounted on first side surface 118 of first support element108 and a peg 418 fixed on first side surface 118 of second supportelement 110 and configured to be selectively received by each slot onarm 416. A similar locking mechanism 410 may be provided on second sidesurface 120 for added stability. Alternatively, locking mechanism 410may be any suitable mechanism for locking first support element 108 andsecond support element 110 in position relative to each other, such as,for example, adjustable fasteners, tabs, and geared knobs.

In addition, in the exemplary embodiment, connector mechanism 402includes a conduit 412 for maintaining control and/or power connectionsto emitters 104 when first support element 108 and second supportelement 110 are separated. For example, a power source (e.g., a battery)and/or a controller (not shown) may be housed in first support element108, and conduit 412 may enable safe and efficient routing of conductivewires for power and/or control signals from first support element 108 toemitters in second support element 110.

FIG. 5 is a schematic perspective view of another exemplary alternativeembodiment of device 100 (shown in FIG. 1 ), designated device 500. FIG.6 is a schematic perspective view of a patient 600 using device 500.Device 500 is substantially identical to embodiments of device 100 asdescribed above with respect to FIGS. 1-4 , except as described below.In particular, with reference to FIGS. 5 and 6 , device 500 includes atleast one side arm assembly 502 coupled to support 102. In theillustrated embodiment, the at least one side arm assembly 502 includesa pair of side arm assemblies extending respectively from first sidesurface 118 and second side surface 120. Each side arm assembly 502includes a support arm 504 and at least one support pad, such as one ormore of support pads 506, 508, 510.

Support arm 504 includes a first end 512 and a second end 514. Each sidearm assembly 502 is coupled to support 102 at first end 512 of supportarm 504. In some embodiments, each side arm assembly 502 is rotatablycoupled to support 102 at first end 512. In other embodiments, each sidearm assembly 502 is fixed to support 102 at first end 512. In certainembodiments, each support arm 504 is configured to bend along one ormore selected portions in response to manual manipulation, and maintaineach resulting bended position (e.g., bended shape) such that side armassemblies 502 may be selectively positioned toward the patient's headand face. Each support arm 504 may be formed from a flexible, repeatablybendable material that tends to retain each bended shape, such as, forexample, a gooseneck tubing material made from rubber, polymer, and/orany suitable material.

Each support pad includes an inner, or patient-facing, surface 518configured to contact a region of the face of patient 600 when supportarm 504 is properly positioned. In the exemplary embodiment, the atleast one support pad includes a temporal pad 506 configured to contacta temporal region of the patient's face, a TMJ pad 508 configured tocontact a temporomandibular joint region of the patient's face, and amasseter pad 510 configured to contact a jaw region of the patient'sface, when patient 600 is supine and supported on support 102. Inalternative embodiments, the at least one support pad includes anysuitable number of support pads configured to contact any suitableportion of the patient's face for light therapy treatment as describedherein. Emitters 104 are embedded on inner surface 518 of each supportpad 506, 508, and 510. More specifically, a first subset of emitters 104associated with temporal pad 506 is configured to emit low-levelelectromagnetic radiation transdermally to the patient's temporalmuscle. A second subset of emitters 104 associated with TMJ pad 508 isconfigured to emit low-level electromagnetic radiation transdermally toa temporomandibular joint region of the patient's face. A third subsetof emitters 104 associated with masseter pad 510 is configured to emitlow-level electromagnetic radiation transdermally to a jaw region of thepatient (i.e., including a lower region of the masseter muscle). Each offirst, second, and third subsets of emitters 104 is independentlyactivatable.

In embodiments where the at least one support pad numbers more than one,each side arm assembly 502 also includes pad connectors 516 configuredto connect the multiple pads. For example, in the illustratedembodiment, respective pad connectors 516 connect temporal pad 506 andmasseter pad 510 to TMJ pad 508. Pad connectors 516 enable furtherpositioning and orientation of support pads 506 and 510 relative tosupport pad 508, to facilitate better positioning and contact of theplurality of support pads on the targeted regions of the patient's face.Pad connectors 516 may include a ball and socket joint configuration atone or both ends of each pad connector 516. In alternative embodiments,pad connectors 516 are configured to bend along one or more selectedportions in response to manual manipulation, and maintain each resultingbended position (e.g., bended shape) such that one or more of pads 506,508, and 510 may be selectively positioned on the patient's face. Inthese embodiments, pad connectors 516 may be formed from a flexible,repeatably bendable material as described above with respect to supportarm 504.

Thus, in the exemplary embodiment, device 500 enables dosages of lighttherapy to be administered to treatment areas of the neck via infraredemitters 104 of contact surface 116 as well as to areas of the patient'shead and face via emitters 104 of support pads 506, 508, 510. Thisenables a patient to conveniently treat multiple areas with, forexample, NIR light at the same time. In particular, it has beendiscovered that support 102, sized and contoured to induce the musclesand surrounding tissues in sub-occipital region 204 and lower neckregion 206 into the light therapy-receptive state described above,advantageously further tends to induce the light therapy-receptive statein the temporal, TMJ, and lower masseter muscles and surrounding tissuesassociated with TMD. A position of each support pad 506, 508, 510relative to support 102 is adjustable to align a second plurality ofemitters 104 with these TMD-specific muscle groups and other tissueswhile they are in the receptive state induced by use of support 102.

Alternatively, device 500 does not include the first plurality ofemitters 104 on contact surface 116, and targets light therapy solelyusing the at least one support pad. In various embodiments, device 500further includes adjustable first and second support elements 108, 110as described in FIGS. 3 and 4 .

FIG. 7 is a schematic perspective view of another exemplary alternativeembodiment of device 100 (shown in FIG. 1 ), designated device 700.Device 700 is substantially identical to the embodiments of device 100as described above with respect to FIGS. 1-6 , except as describedbelow. In particular, device 700 includes support 102, which includesbase surface 106. Base surface 106 is defined by a support plate 702. Aposition of a remainder of support 102, designated body 704, isadjustable relative to support plate 702 to vertically adjust portionsof contact surface 116, such as first contact surface 112, relative toother portions of contact surface 116, for example to accommodatephysical requirements of a particular patient's head in order to achievethe desired receptive state of the target muscle groups and/or thedesired alignment of emitters 104 and the target muscle groups.

In the exemplary embodiment, device 700 includes an adjustment mechanism708, such as, for example, a stepped gear mechanism, coupled in at leastone location between support plate 702 and body 704. Adjustmentmechanism 708 is configured to adjust a position of body 704 relative tosupport plate 702. In the illustrated embodiment, adjustment mechanismis located in two corners of device 700, enabling rotational adjustmentof body 704 relative to base surface 106 at an angle 706 about an axis710 extending perpendicular to first side surface 118. Additionally oralternatively, adjustment mechanism 708 is provided in all four cornersof device 700, enabling elevation of body 704 evenly with respect tosupport plate 702. In such embodiments, an entirety of contact surface116 may be raised and lowered relative to base surface 106 toaccommodate different physical requirements of different patients.Alternatively, device 700 includes any suitable number and locations ofadjustment mechanism 708 that enables device 700 to function asdescribed herein.

In some embodiments, adjustment mechanism 708 is manually adjusted via amechanical connection to a knob (not shown) on one or more side surfacesof device 700, such as side surfaces 118, 120. In other embodiments,adjustment mechanism 708 is electronically adjustable by a controller,as described above.

FIG. 8 is a schematic perspective view of another exemplary alternativeembodiment of device 100 (shown in FIG. 1 ), designated device 800. FIG.9 is a back elevation view of device 800. Device 800 is substantiallyidentical to the embodiments of device 100 as described above withrespect to FIGS. 1 and 2 , except as described below. For example,device 800 again includes support 102, which again includes base surface106, contact surface 116 opposite base surface 106 and contoured tosupport a curvature of a sub-occipital region 204 and a lower neckregion 206 of patient 200 in a supine position such that an upperportion of the head of patient 200 is cantilevered beyond support 102,and infrared emitters 104 coupled to support 102 proximate to contactsurface 116. Contact surface 116 again includes first contact surface112, contoured to support the curvature of sub-occipital region 204, andsecond contact surface 114, configured to support lower neck region 206.More specifically, in the exemplary embodiment, second contact surface114 is again a concave surface, and first contact surface 112 is again aconvex surface having an apex extending to a first distance D₁ from basesurface 106 that is greater than a second distance D₂ extending betweensecond contact surface 114 and base surface 106.

In some embodiments, device 800 again includes a first subset ofemitters configured to emit low-level electromagnetic radiationtransdermally to the sub-occipital region, and a second subset ofemitters configured to emit low-level electromagnetic radiationtransdermally to the lower neck region. For example, as shown in FIG. 9, the first subset of emitters 104 includes emitters 104 arranged on aback-facing side of first contact surface 112 and oriented to emitenergy transdermally to the sub-occipital region of patient 200.

In addition, in the exemplary embodiment, contact surface 116 of device800 includes a third portion, designated third contact surface 117, thatis contoured to support the curvature of the upper back and/or shouldersof patient 200. More specifically, in the exemplary embodiment, thirdcontact surface 117 is a convex surface that extends in a smoothtransition from second contact surface 116, such that second contactsurface 116 is located between first contact surface 112 and thirdcontact surface 117. Third contact surface 117 extends to a thirddistance D₃ from base surface 106 that is less than second distance D₂.In some embodiments, third contact surface provides enhanced support forthe upper back and/or shoulders of patient 200, and further cooperateswith first and second contact surfaces 112 and 114 to gently stretch thepatient's sub-occipital muscles, as well as surrounding tissues andmuscle groups in the lower neck and head, into the lighttherapy-receptive state described above. Alternatively, first contactsurface 112, second contact surface 114, and third contact surface 117each have any suitable shape that enables device 100 to function asdescribed herein. In the exemplary embodiment, a third subset ofemitters 104 is arranged on third contact surface 117 to emit low-levelmagnetic radiation to the upper back and/or shoulders. Alternatively, noemitters 104 are arranged on third contact surface 117.

In some embodiments, support 102 includes a core portion 802 and acushion layer 850. More specifically, core portion 802 defines at leasta portion of base surface 106 and includes an upper surface 804 oppositebase surface 106. Cushion layer 850 substantially defines contactsurface 116 and is mounted on upper surface 804 of core portion 802.

In some such embodiments, core portion 802 is formed from asubstantially rigid material, such as a hard plastic, and securelyhouses electronic components therewithin such as a controller (notshown), a rechargeable battery (not shown), and/or other componentsassociated with control, power supply, and operation of emitters 104. Inaddition, core portion 802 includes control and input hardware arrangedfor easy access by a user, such as a connector 810 for a power cord forpowering emitters 104 and/or recharging the internal battery, and anon/off switch 812. Additionally or alternatively, core portion 802includes any other suitable control and/or input hardware.

Moreover, in some such embodiments, cushion layer 850 is formed from asuitable foam or cushion material that compresses and conforms to thecurvature of the patient's neck, such that (i) the patient's neck iscomfortably supported by device 100 and (ii) infrared emitters 104 aredirectly adjacent to the target treatment areas of the patient's neckwhile device 100 is in use. In certain embodiments, this structuralseparation of the rigid core portion 802 and the relativelysoft/flexible cushion layer 850 enables device 100 to provide thecomfort and/or therapy advantages described above while protectingassociated electronic components within a structurally sound housing.Alternatively, each of core portion 802 and cushion layer 850 is formedform any suitable material that enables device 100 to function asdescribed herein.

In the exemplary embodiment, upper surface 804 defines a contoursubstantially similar to a contour of contact surface 116, and cushionlayer 850 is formed from a layer of foam or cushion material of asubstantially constant (excepting apertures 852, as discussed below)thickness 854 form-fitted against upper surface 804. For example, coreportion 802, including upper surface 804, is formed in a plastic moldingprocess. In some such embodiments, this construction enables an ease of,and reduces a cost of, manufacture of device 100. Alternatively, uppersurface 804 has any suitable shape and/or cushion layer 850 is formed inany suitable fashion that enables device 100 to function as describedherein.

As discussed above, emitters 104 are coupled to support 102 proximate tocontact surface 116 and oriented to emit energy transdermally to patient200. In certain embodiments, this is implemented by emitters 104 affixedto upper surface 804 of core portion 802, and apertures 852 defined incushion layer 850 and arranged to register with emitters 104. Morespecifically, emitters 104 are affixed to upper surface 804 and orientedto emit energy transdermally to patient 200 via apertures 852. In theexemplary embodiment, apertures 852 extend entirely through a thickness854 of cushion layer 850. Alternatively, apertures 852 extend less thanentirely through thickness 854, such that a relatively thin layer ofmaterial of cushion layer 850 is disposed over emitters 104 and issubstantially transparent to the low-level electromagnetic radiationemitted by emitters 104.

Alternatively, emitters 104 are coupled to support 102 proximate tocontact surface 116 in any suitable fashion that enables device 100 tofunction as described herein.

FIG. 10 is a schematic perspective view of device 800, includingexemplary elevator platforms 1000 coupled underneath base surface 106.Elevator platforms 1000 are configured for selective coupling underneathbase surface 106 to adjust an elevation of contact surface 116 relativeto a substrate (for example, a floor, treatment table, or bed) on whichdevice 100 rests, for example to accommodate physical requirements of aparticular patient's head in order to achieve the desired receptivestate of the target muscle groups and/or the desired alignment ofemitters 104 and the target muscle groups.

More specifically, in the exemplary embodiment, each elevator platformextends from an elevator base surface 1006 to an elevator upper surface1004 over an elevator thickness 1054. In the exemplary embodiment,elevator upper surface 1004 of a first elevator platform 1080 isconfigured to couple against base surface 106 of support 106, andelevator base surface 1006 of first elevator platform 1080 is configuredto rest on the substrate, thereby elevating contact surface 116 bythickness 1054 relative to configurations in which base surface 106rests directly on the substrate.

In some embodiments, a plurality of elevator platforms 1000 areconfigured for sequential stacking underneath base surface 106, forexample to accommodate patients who need a larger adjustment of theelevation of contact surface 116. More specifically, in the exemplaryembodiment, elevator upper surface 1004 of a second elevator platform1090 is configured to couple against elevator base surface 1006 of firstelevator platform 1080, and elevator base surface 1006 of secondelevator platform 1090 is configured to rest on the substrate, therebyelevating contact surface 116 by thickness 1054 of first elevatorplatform 1080 plus thickness 1054 of second elevator platform 1090relative to configurations in which base surface 106 rests directly onthe substrate. In some embodiments, thickness 1054 of first elevatorplatform 1080 is substantially equal to thickness 1054 of secondelevator platform 1090. Alternatively, thickness 1054 of first elevatorplatform 1080 differs substantially from thickness 1054 of secondelevator platform 1090.

Elevator platforms 1000 are suitably configured for ease of coupling,and decoupling from, underneath base surface 106. For example, but notby way of limitation, elevator upper surface 1004 of first elevatorplatform 1080 is configured to snap fit into base surface 106 of support106, and elevator upper surface 1004 of second elevator platform 1090 isconfigured to snap fit into elevator base surface 1006 of first elevatorplatform 1080. Alternatively, elevator platforms 1000 are configured forcoupling to and decoupling from underneath base surface 106 in anysuitable fashion that enables elevator platforms 1000 to function asdescribed herein.

Although two elevator platforms 1000 are illustrated in FIG. 10 , itshould be understood that any suitable number of elevator platforms 1000may be provided and configured for sequential stacking underneath basesurface 106 of support 102 to enable a corresponding adjustment of theelevation of contact surface 116 relative to the substrate. in certainembodiments, providing a plurality of stackable elevator platforms 1000enables a single device 100 to be effectively used by multiple patients(e.g., family members) having different physical requirements,eliminating a need to obtain a differently sized device 100 for eachuser.

In some embodiments, as an alternative or addition to stacking elevatorplatforms 1000 to provide different adjustments to the elevation ofcontact surface 116, a set of first elevator platforms 1000 each havinga different thickness 1054 may be provided for selective, one-at-a-timeuse with support 102 in order to provide different elevations of contactsurface 116 relative to the substrate.

In the exemplary embodiment, each elevator platform 1000 is formed froma rigid plastic material. Alternatively, each elevator platform 1000 isformed from any suitable material that enables device 100 to function asdescribed herein.

In the exemplary embodiment, each elevator platform 1000 is shaped as agenerally flat plate having elevator upper surface 1004 congruent to thebase surface to which it is intended to couple. For example, elevatorupper surface 1004 of first elevator platform 1080 is congruent to basesurface 106, elevator upper surface 1004 of second elevator platform1090 is congruent to elevator base surface 1006 of first elevatorplatform 1080, etc. In other embodiments, each elevator platform 1000 isshaped as a frame having elevator upper surface 1004 configured toextend around and underneath a perimeter of the base surface to which itis intended to couple. Alternatively, each elevator platform 1000 hasany suitable shape that enables device 100 to function as describedherein.

In the exemplary embodiment, each elevator platform 1000 includes aplatform contact surface 1017 contoured to extend generally forward froma front edge 109 of base surface 106. For example, platform contactsurface 1017 of first elevator platform 1080 slopes downward and forwardfrom front edge 109 of base surface 106 to a platform front edge 1019 offirst elevator platform 1080, platform contact surface 1017 of secondelevator platform 1090 slopes downward and forward from platform frontedge 1019 of first elevator platform 1080 to platform front edge 1019 ofsecond elevator platform 1090, etc. Further in the exemplary embodiment,platform contact surface 1017 of each elevator platform 1000 is shapedto cooperate with a curvature of contact surface 116 to form asubstantially smooth, continuous contour that enhances a comfort ofpatient 200. For example, platform contact surface 1017 of firstelevator platform 1080 is shaped to match a curvature of third contactsurface 117 along front edge 109, and extend that curvature smoothlyacross platform contact surface 1017, and platform contact surface 1017of second elevator platform 1090 is shaped to match a curvature ofplatform contact surface 1017 of first elevator platform 1080 alongplatform front edge 1019, and extend that curvature smoothly acrossplatform contact surface 1017. Alternatively, platform contact surface1017 of each elevator platform 1000 has any suitable shape that enablesdevice 100 to function as described herein, or elevator platform 1000does not include platform contact surface 1017 extending forward fromfront edge 109 of base surface 106.

Although not illustrated in FIGS. 8-10 , embodiments including thespecific features illustrated for device 800 may further include the atleast one side arm assembly 502 (shown in FIGS. 5 and 6 ) coupled tosupport 102, as described above.

Exemplary embodiments of medical devices are described above in detail.The methods and systems are not limited to the specific embodimentsdescribed herein, but rather, operations of the methods and componentsof the systems may be utilized independently and separately from otheroperations and/or components described herein. For example, the methodsand apparatus described herein may have other industrial and/or consumerapplications and are not limited to practice with medical devices asdescribed herein. Rather, one or more embodiments may be implemented andutilized in connection with other industries.

This written description uses examples to illustrate the disclosure,including the best mode, and also to enable any person skilled in theart to practice the disclosure, including making and using any devicesor systems and performing any incorporated methods. The patentable scopeof the disclosure is defined by the claims, and may include otherexamples that occur to those skilled in the art. Such other examples areintended to be within the scope of the claims if they have structuralelements that do not differ from the literal language of the claims, orif they include equivalent structural elements with insubstantialdifferences from the literal language of the claims.

What is claimed is:
 1. A device for delivering low-level electromagneticradiation to a patient, said device comprising: a core portioncomprising an upper surface and defining at least a portion of a basesurface opposite said upper surface, wherein said base surface is planarand configured to rest on a substrate; a cushion layer mounted on saidupper surface and defining a contact surface, wherein said contactsurface is opposite said base surface and contoured to support acurvature of a sub-occipital region and a lower neck region of thepatient in a supine position; and a plurality of emitters affixed tosaid upper surface of said core portion and aligned with a correspondingplurality of apertures defined in said cushion layer, said plurality ofemitters being configured to emit low-level electromagnetic radiationthrough the plurality of apertures in said cushion layer andtransdermally to at least one of the sub-occipital region and the lowerneck region, wherein said plurality of emitters comprises: a firstsubset of emitters positioned on said core portion to emit low-levelelectromagnetic radiation transdermally to the sub-occipital region; anda second subset of emitters positioned on said core portion to emitlow-level electromagnetic radiation transdermally to the lower neckregion while the first subset of emitters emit low-level electromagneticradiation transdermally to the sub-occipital region.
 2. The deviceaccording to claim 1, wherein said core portion is formed from a rigidmaterial and said cushion layer is formed from a material that iscompressible and conformable to a curvature of a neck of the patient. 3.The device according to claim 1, wherein said upper surface defines acontour similar to a contour of said contact surface, and said cushionlayer comprises a layer of constant thickness form-fitted against saidupper surface.
 4. The device according to claim 1, wherein saidapertures extend entirely through a thickness of said cushion layer. 5.The device according to claim 1, wherein said apertures extend less thanentirely through a thickness of said cushion layer, such that arelatively thin layer of a material of cushion layer is disposed oversaid emitters and is transparent to the low-level electromagneticradiation emitted by said emitters.
 6. The device according to claim 1,wherein said plurality of emitters comprises a third subset of emitterspositioned on said core portion to emit low-level electromagneticradiation transdermally to at least one of an upper back and shouldersof the patient.
 7. The device according to claim 1, wherein saidplurality of emitters is configured to emit near infrared light.
 8. Thedevice according to claim 1, further comprising at least one elevatorplatform coupled underneath said base surface, said at least oneelevator platform configured for selective coupling underneath said basesurface to adjust an elevation of said contact surface relative to thesubstrate.
 9. The device according to claim 8, wherein said at least oneelevator platform comprises a plurality of elevator platforms configuredfor sequential stacking underneath said base surface.
 10. The deviceaccording to claim 9, wherein said plurality of elevator platformscomprises a first elevator platform and a second elevator platform, eachof said elevator platforms extending from an elevator base surface to anelevator upper surface over an elevator thickness, wherein said elevatorupper surface of said first elevator platform is coupled against saidbase surface, and wherein said elevator upper surface of said secondelevator platform is coupled against said elevator base surface of saidfirst elevator platform.
 11. The device according to claim 8, whereinsaid at least one elevator platform is coupled underneath said basesurface via a snap fit.
 12. The device according to claim 8, whereinsaid base surface comprises a front edge, and said at least one elevatorplatform comprises a platform contact surface contoured to extendgenerally forward from said front edge.
 13. The device according toclaim 12, wherein said platform contact surface slopes downward andforward from said front edge.
 14. The device according to claim 13,wherein said platform contact surface is shaped to cooperate with acurvature of said contact surface to form a smooth, continuous contour.15. A device for delivering low-level electromagnetic radiation to apatient, said device comprising: a core portion comprising an uppersurface and defining at least a portion of a base surface opposite saidupper surface, wherein said base surface is planar and configured torest on a substrate; a cushion layer mounted on said upper surface anddefining a contact surface, wherein said contact surface is oppositesaid base surface and contoured to support a curvature of asub-occipital region and a lower neck region of the patient in a supineposition; and a plurality of emitters affixed to said upper surface ofsaid core portion and aligned with a corresponding plurality ofapertures defined in said cushion layer, said plurality of emittersbeing configured to emit low-level electromagnetic radiation through theplurality of apertures in said cushion layer and transdermally to atleast one of the sub-occipital region and the lower neck region, whereinsaid contact surface comprises: a first contact surface contoured tosupport the curvature of the sub-occipital region, wherein said firstcontact surface comprises a convex surface; and a second contact surfaceconfigured to support the lower neck region, wherein said second contactsurface comprises a concave surface, wherein said plurality of emitterscomprises a first subset of emitters positioned on said core portion toemit low-level electromagnetic radiation from said first contact surfaceand a second subset of emitters positioned on said core portion to emitlow-level electromagnetic radiation from said second contact surface.16. The device according to claim 15, wherein said contact surfacefurther comprises a third contact surface contoured to support acurvature of at least one of an upper back and shoulders of the patient,wherein said plurality of emitters further comprises a third subset ofemitters positioned on said core portion to emit low-levelelectromagnetic radiation from said third contact surface.
 17. Thedevice according to claim 16, wherein said third contact surfacecomprises a convex surface.
 18. The device according to claim 16,wherein said second contact surface is located between said firstcontact surface and said third contact surface.